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NPI Code Detail

MEDICARE: JAMES R MCADAM D.O.

MEDICARE: JAMES R MCADAM D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianR6A32MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00275206OTHERMORAILROAD MEDICARE

General Provider Information

NPI Number : 1578599254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES R MCADAM D.O.
Provider Business Mailing Address
First Line : 2345 DOUGHERTY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3313
Country : US
Telephone Number : 314-821-5850
Fax Number :
Provider Business Practice Location Address
First Line : 2345 DOUGHERTY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3313
Country : US
Telephone Number : 314-821-5850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/07/2026

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